Transabdominal and transvaginal ultrasound findings help to guide the clinical management of placenta accreta spectrum cases.

ABSTRACT:

Introduction

The clinical management of placenta accreta spectrum (PAS) depends on placental topography and vascular involvement. Our aim was to determine whether transabdominal and transvaginal ultrasound signs can predict PAS management.

Material and methods

We conducted a retrospective cohort study of consecutive prenatally suspected PAS cases in a single tertiary-care PAS center between January 2021 and July 2022. When PAS was confirmed during surgery, abdominal and transvaginal ultrasound scans were analyzed in relation to PAS management. The preferred surgical approach of PAS was one-step conservative surgery (OSCS). Massive blood loss and PAS topography in the lower bladder trigone necessitated cesarean hysterectomy. Transvaginal ultrasound-diagnosed intracervical hyp

SUBMITTER: Aryananda RA 

PROVIDER: S-EPMC10755131 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature